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Cpw Intervention Paper

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Study Design We identified CPW interventions using criteria developed by Kinsman et al.19 The criteria are as follows: 1. The intervention was a structured multidisciplinary plan of care; 2. The intervention was used to channel the translation of guidelines or evidence into local structures; 3. The intervention detailed the steps in a course of treatment or care in a plan, pathway, algorithm, guideline, protocol or other inventory of actions; 4. The intervention had time frames of criteria-based progression (i.e. steps were taken if designated criteria were met); 5. The intervention aimed to standardize care for a specific clinical problem, procedure or episode of care in a specific population. These criteria have been weighted: for an …show more content…

This could include activities such as patient observation, pain assessment, patient teaching, or the performance of complex procedures or tests. Passive tasks such as a nurse carrying out a medication or test order, a radiology technician performing a radiology request, a respiratory technician carrying out a medication order, or any other such actions were not considered to be active involvement. The involvement of a consultant as an end-point of a pathway was not considered an active role. The involvement of imaging specialists (radiology, nuclear medicine) was only considered active if they had a decision-making ability that could alter the flow of a CPW besides solely reporting the results of an imaging …show more content…

We used a broad range of keywords in our search strategy, including free text in addition to the controlled vocabulary terms of individual databases. This is especially important for CPWs where the terminology is inconsistent. The search strategy was developed with the assistance of an information specialist. We also screened relevant publications from the EPOC (Cochrane Effective Practice and Organization of Care Group) Register of Studies.40 Bibliographies of CPW systematic reviews were also searched for missed publications. A recent study suggests that English language restriction does not introduce systematic bias into systematic reviews with meta-analysis.39 Therefore, we restricted the language of publication to either English or French. Studies identified from the search strategy were entered into the reference manager Endnote® (version X4, Thomson-Reuters). They were then manually

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